Individual provider Active NPI

Price Harold Gholson, PSY.D., LPC, NCC

  • Professional Counselor
  • Kennett, MO
National Provider Identifier
1114018876
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
002707 Issued in MO
Practice address
822 North Byp
Kennett, MO 63857-1345
Phone
(573) 888-4447
Fax
(537) 888-2999
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 53979 MO
Professional Counselor 101YP2500X 002707 MO Primary

Addresses

Primary practice location

822 North Byp
Kennett, MO 63857-1345

Mailing address

822 North Byp
Kennett, MO 63857-1345
Phone (573) 888-4447

Other identifiers 2

IdentifierTypeStateIssuer
122050OtherMOBLUE CROSS/BLUE SHIELD MO
11470514OtherMOCAQH-UNIV CRED DATA SOURC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
53979MOMDCounselor
002707MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Center, L.L.C. Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1114018876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 NORTH BYP",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571345",
            "telephone_number": "573-888-4447",
            "fax_number": "537-888-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 NORTH BYP",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638571345",
            "telephone_number": "573-888-4447",
            "fax_number": "537-888-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "PRICE",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "53979",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "002707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD MO",
            "identifier": "122050",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH-UNIV CRED DATA SOURC",
            "identifier": "11470514",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.